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General NPI Number Information
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NPI Number | 1215314703
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE CENTER PLLC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 800 SHENANDOAH AVENUE SUITE 170
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City | ELKTON
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State | VA
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Zip | 22827
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Country | US
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Telephone | 540-437-4226
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Fax | 540-437-4227
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Provider Business Mailing Address
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Address Line | 1591 PORT REPUBLIC RD
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City | ROCKINGHAM
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State | VA
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Zip | 22801-3517
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Country | US
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Telephone | 540-437-4226
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Fax |
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Authorized Official
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Title or Position | OWNER, SPEECH PATHOLOGIST
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Name | LORA NALBERCZINSKI
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Credential | MS, CCC-SLP
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Telephone | 540-578-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004333
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License Number State | VA
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